person
Manish Champaneria, MD
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1437356375

Manish Champaneria is a Student in an Organized Health Care Education/Training Program based in San Diego, CA. Manish Champaneria practices in San Diego, CA and has the professional credentials of MD. The NPI Number for Manish Champaneria is 1437356375 and holds a License No. MD60337579 (California).

The current practice location address for Manish Champaneria is 12395 El Camino Real Ste 112, San Diego, CA and can be reached out via phone at 858-554-9930. You can also correspond with Manish Champaneria through the mailing address at 10790 RANCHO BERNARDO RD, SAN DIEGO, CA - 92127-5705 (mailing address contact number: 858-554-9930).

Location: 12395 El Camino Real Ste 112, San Diego, CA, 92127-5705
person
Provider Profile Details
NPI Number
1437356375
Provider Name
Manish Champaneria
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12395 El Camino Real Ste 112, San Diego, CA, 92127-5705
Phone Number
858-554-9930
Fax Number
Provider Enumeration Date
07/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1437356375 05 WA
institution
Provider Business Practice Location Address Details
Address
12395 El Camino Real Ste 112
City
State
Zip
92130
Phone Number
858-554-9930
Fax Number
person
Provider Business Mailing Address Details
Address
12395 El Camino Real Ste 112
City
State
Zip
92130
Phone Number
858-554-9930
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
A105454 (California)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
MD60337579 (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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